Healthcare Provider Details

I. General information

NPI: 1083850713
Provider Name (Legal Business Name): ALLIED ANESTHESIA ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2008
Last Update Date: 12/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 GOODYEAR AVE BUILDING 400, SUITE 302
GADSDEN AL
35903-1102
US

IV. Provider business mailing address

1026 GOODYEAR AVE BUILDING 400, SUITE 302
GADSDEN AL
35903-1102
US

V. Phone/Fax

Practice location:
  • Phone: 256-492-7246
  • Fax: 256-492-5746
Mailing address:
  • Phone: 256-492-7246
  • Fax: 256-492-5746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberDO.536
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1-048920
License Number StateAL

VIII. Authorized Official

Name: DR. PAUL MATTHEW MURATTA
Title or Position: MEDICAL DIRECTOR
Credential: DOCTOR OF OSTEOPATHY
Phone: 256-492-7246